Healthcare Claims Management is the work that happens after a claim is submitted. esolutionprojects tracks scheme responses, unresolved claims, corrections, resubmissions and follow-up so the practice can see what still needs action and what has reached an outcome.
A claim can be submitted correctly and still need attention later. The real control point is whether the practice can see the response, understand the status and assign the right next action.
Submitted claims sit without a clear status, owner or follow-up point.
Queries, adjustments or rejection reasons are not routed to the right person quickly enough.
A corrected claim is resubmitted, but nobody tracks whether it reaches a final outcome.
Outstanding claims depend on spreadsheets, notes, inboxes or memory rather than a controlled workflow.
Different claim problems are grouped together even though each one may need a different action.
Older unresolved claims only become visible once ageing or cash-flow pressure has already increased.
We manage the post-submission claim journey: tracking the scheme response, identifying what needs attention, coordinating valid corrections or resubmissions, following unresolved items and recording the outcome.
The exact route differs by claim, but the principle is consistent: every unresolved item needs a visible status and a clear next action.
The claim reaches the scheme through the appropriate submission process.
Monitor status, response, age and whether anything requires attention.
Identify whether the response is payment, query, rejection, adjustment or another outcome.
Correct, resubmit, provide information, follow up or escalate where appropriate.
Reconcile the outcome and keep unresolved balances visible until a decision is reached.
Healthcare Claims Management manages claims after submission. Rejected Claims Support focuses on claims that have failed. Revenue Cycle Management covers the wider financial journey from billing through payment and reconciliation.
Rejected Claims Support focuses specifically on understanding why the claim was rejected, whether a valid correction or recovery action exists and what happens next.
Explore Rejected Claims SupportMyKIT@esolutionprojects helps practices keep claims activity, outstanding work and follow-up easier to see and manage.
MyKIT@esolutionprojects supports clearer visibility over claim status, outstanding actions and follow-up.
Get claims submitted accurately and efficiently to the scheme.
Explore submission supportWhen claims failIdentify the rejection reason and the next valid correction or recovery action.
Explore rejected claimsWider revenue journeyConnect billing, claims, payment, reconciliation and follow-up across the wider revenue cycle.
Explore RCMIt is the structured tracking and follow-up of medical claims after submission, including scheme responses, queries, rejections, corrections, resubmissions and unresolved balances.
The claim should be tracked for scheme response, payment, query, rejection or another status. Unresolved items need a visible owner and next action.
No. Claims Management covers the wider post-submission journey. Rejected Claims Support focuses specifically on claims that have failed.
An unresolved claim is a submitted claim that has not yet reached a clear outcome and still requires tracking, information, correction, resubmission, follow-up or another valid action.
Keep unresolved claims visible, give each item a clear next action and reduce the risk of outstanding revenue disappearing into follow-up gaps.